Individual provider Active NPI

Angela Beth Whittle-Merchant, FNP

  • Family Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1962549899
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN569 Issued in SC
Practice address
635 W Wesmark Blvd
Sumter, SC 29150-1900
Phone
(803) 469-7500
Fax
(803) 469-7521
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN569 SC Primary

Addresses

Primary practice location

635 W Wesmark Blvd
Sumter, SC 29150-1900

Mailing address

635 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7500

Other identifiers 1

IdentifierTypeStateIssuer
NP2064MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000403 SC Practitioner - Nurse Practitioner 3072779818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN569SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sumter Nephrology LLC CurrentSince Mar 1, 2014 Accepting new patients
M Francisco Gonzalez, MD, PA PastSince Nov 1, 2006 Accepting new patients

Locations

115 N Sumter St
Ste 305
Sumter, SC 29150
Phone (803) 934-8348

3 Medical Ct
Sumter, SC 29150
Phone (803) 934-8348

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1962549899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7500",
            "fax_number": "803-469-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7500",
            "fax_number": "803-469-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLE-MERCHANT",
        "first_name": "ANGELA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2064",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.